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SOLO USER GUIDE
A Step by Step Guide to Catheter Insertion
See inside for fold-out illustrated poster
Connecting to and disconnecting from the
haemostatic valves
Traditional catheter design
New Kflow Epic SOLO design
Unlike traditional short term catheters the Kflow Epic SOLO has a haemostatic valve incorporated into the catheter design therefore maintaining
a safe closed system at all times, without the need for traditional thumb clamps or end caps, which are a cause of patient discomfort and
opportunistic to harbouring dirt and bacteria.
No clamps -­ for improved patient comfort and maintaining durability of extension lines.
Haemostatic valves -­ also complete haemostatic insertion and rapid secure On/Off. Decrease incidence of infection secondary to multiple hub
manipulations.
Haemostatic valves hold lumen lock solution with minimal reflux of blood into catheter lumens which will
decrease incidence of thrombotic occlusion.
fig 1
The valve connector should be decontaminated with either alcohol or an alcoholic solution of chlorhexidine
gluconate before and after it has been used to access the system with sterile devices.
Connecting
To access the haemostatic valve connector, swab the silicone seal in accordance with facility protocol (fig 1).
To connect a male luer slip to the haemostatic valve connector,
grasp the valve connector and position the luer syringe so that the
luer syringe will be pushed straight into the valve using a twisting
motion, as shown (fig 2). Do not attempt to insert the luer syringe
at an angle.
fig 2
fig 2
fig 3
fig 3
To connect a male luer lock to the haemostatic valve connector,
grasp the valve connector and position the luer so that the luer
will be pushed straight into the valve using a twisting motion, as
shown (fig 3).
Disconnecting
1. To disconnect from the haemostatic valve, grasp the valve and
twist the syringe or blood tubing set connector anti-­clockwise
until loose, then pull away from the valve connector. Flush
the valve connector after each use, in accordance with facility
protocol.
2. The valve closes and seals once the connector is removed from
the valve connector therefore capping is optional.
3. The valve connector should be decontaminated with either alcohol
or an alcoholic solution of chlorhexidine gluconate before and
after it has been used to access the system with sterile devices.
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Catheter anchoring and securement
Anchoring the SOLO catheter
The Kflow Epic SOLO catheter designed to improve patient comfort. The soft biocompatible catheter features a hubless design which eliminates
pressure points, no more need for painful pulling sutures.
Fixation can be done by applying a UNIFIX adhesive sutureless securement device which facilitates easy catheter removal or replacement for longer
use. No more painful sutures, however, if the traditional suture method is prefered use the 2 piece moveable suture wing supplied in the kit.
Fixation using the UNIFIX adhesive suture securement fixation device
Sutureless securement device
Fixation using Sutures
1. Take the (white) flexible part of the moveable suture wing and spread
the wings until the internal split opens, positioning onto the catheter at
the desired location.
Kflow Epic SOLO anchored
using UNIFIX sutureless
securement device
1
2. Snap the rigid (blue) part of the moveable wing over the flexible wings.
3. Suture the wings through the suture holes to the patients skin.
2
3
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Handwashing
Observe proper hand-­hygiene procedures either by washing hands with conventional antiseptic containing soap and water or with water-­
less alcohol-­based gels or foams.
Good hand hygiene before catheter insertion or maintenance is important for reducing CVC-­related infections.
Before and after palpating catheter insertion sites, as well as before and after inserting, replacing, accessing, repairing, or dressing an intravascular
catheter accessing or dressing central vascular catheters, hands must be decontaminated either by washing with an antimicrobial liquid soap and
water or by using an alcohol handrub.
Palpation of the insertion site should not be performed after the application of antiseptic, unless aseptic technique is maintained.
Following hand antisepsis, clean gloves and a ‘no-­touch’ technique (ANTT) or sterile gloves should be used when changing the insertion site
dressing. Use of gloves does not obviate the need for hand hygiene. Refer to your facility hand washing protocol for more details.
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Site care - Exit cleaning, maintenance and
dressing
Catheter care
The care and maintenance of the catheter requires trained, skilled personnel who follow the hospital/facility protocol. The protocol should
include a directive that the catheter is not used for any other treatment or purpose other than the treatment or therapy prescribed.
The catheter exit site should be checked daily or according to hospital policy. If signs of infection are present notify the physician immediately.
An aseptic technique must be used for catheter site care and for accessing the system.
Site Care – cleaning & maintenance
Preferably, an alcoholic chlorhexidine gluconate solution should be used for cleaning the catheter site during dressing changes and allowed to
air dry. Please refer to your facilities protocol and procedures regarding site care and maintance of catheters.
Healthcare personnel should ensure that catheter-­site care is compatible with catheter materials (tubing, hubs, injection ports, luer connectors
and extensions) and carefully check compatibility with the manufacturer’s recommendations.
Information Source NICE Guidelines.
Site Care -­ dressing
Preferably, a sterile, transparent, semipermeable polyurethane dressing should be used to cover the catheter site.
If a patient has profuse perspiration or if the insertion site is bleeding or oozing, a sterile gauze dressing is preferable to a transparent, semi-­
permeable dressing.
Gauze dressings should be changed when they become damp, loosened or soiled and the need for a gauze dressing should be assessed daily;
a gauze dressing should be replaced by a transparent dressing as soon as possible. Please refer to your facilities protocol and procedures
regarding site care and maintance of catheters.
Catheter removal
t Remove any dressing and suture material.
t Ask the patient to take a breath and fully exhale.
t Remove the catheter with a steady pull, while the patient is holding their breath, and apply firm pressure to the puncture site for at least 5
minutes to stop the bleeding.
t Cover puncture site with a sterile dressing.
t Please note excessive force should not be needed to remove the catheter. If it does not come out, try rotating it whilst pulling gently. If this
still fails, cover it with a sterile dressing and ask an experienced person for advice.
Catheter disposal
t A used catheter should be disposed as per hospital protocol or in sanitary container to prevent possible contamination and cross infection.
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Now Featuring
NEW
MULTI-­TUBE™ TECHNOLOGY
When choosing a lifeline for your patients, make sure it’s...
An Evolutionary New Range
of Access Catheters From
Kimal UK
Unit 401, Pointon Way,
Stonebridge Cross Business Park,
Droitwich Spa, Worcestershire WR9 0LW
Tel: +44 (0)845 437 9542
Fax: +44 (0)845 437 9544
www.kimal.co.uk
Kimal Deutschland GmbH
Benediktusstrasse 88
40549 Düsseldorf
Tel: +49(0)211-­58588125
Fax: +49(0)211-­58588126
www.kimal.com
Kimal International Healthcare FZE
SAIF -­ Zone
PO Box 8532, Sharjah
United Arab Emirates
Tel: +00 971 67451597
Fax: +00 971 67451597
[email protected]
©2012 Kimal plc. All rights reserved. No part of this document may be reproduced in any form or by any means without permission in writing from Kimal plc. Specification: Kimal plc reserves the
right to change the specification of its products at any time. Registered address: Kimal plc, Arundel Road, Uxbridge, UB8 2SA.
L-­132A-­0006-­A1
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SOLO A new solution to old problems
NEWMULTI-­TUBE™ TECHNOLOGY
‡ The
of 2 Round lumens facilitate laminar flow.
t fusion
Holding the venous stylet pass it gently through
the venous (blue) lumen being careful not to
‡ Excellent
rates
of 400mls/min
at venous pressures
kink orflow
damage
the stylet
then lock the venous
stylet in place. Flush the venous lumen contain-­
less than
ing the230mmHg.
stylet again.
‡ Soft tip featuring intelligent grooves which protect the
side holes from sucking against the vessel wall.
‡ Innovative new design means improved patient comfort
-­ no need for traditional hub.
‡ Incorporation of haemostatic valves ensures a safe closed
system negating the need for traditional thumb clamps.
‡ Catheter fixation achieved without suturing.
‡ The soft biocompatible polyurethane material can be
shaped to fit any approach.
‡ Reduced stocking -­ 2 fr sizes, one length fits all patients.
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m
en c
onfigu
r
on
ati
Lu
‡ Easy order codes.
ACCESSORIES
CODE
DESCRIPTION
BOX QTY
KFE-­COV
Kflow Epic connector valve pack
contain x2 valves this part is to be
connected to a functioning valve but
can be changed every dialysis session if
required.
5
KFE -­REV
Kflow Epic repair valve pack contains 1
valve this part is to be connected to a
defective valve
5
Unifix
Adhesive sutureless securement device
for catheter fixation and anchoring
50
KFCVCS
CVC insertion pack standard suitable
for temporary catheter insertion
24
KFCVCP
CVC insertion pack premier suitable for
temporary catheter insertion.
16
KFCVC1
CVC insertion pack suitable for
tunnelled catheter insertion.
7
KFAVF1
Arterial Venous Fistula on / off pack
40
KFCHD1
Dialysis catheter on / off pack
30
Contact your local rep for details or email: [email protected]
www.kimal.co.uk
Catheter Insertion Step by Step Guide
SOLO USER GUIDE
1. Prepare the patient.
Using Aseptic
technique
check kit
contents.
2. Carefully insert the stylet into the venous lumen and luer lock into position. ¿J
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3. Insert 4. Insert the guidewire into the valved
side port on the introducer
needle.
the 18g introducer
needle into
the target vein.
5. Using the thumb feeder carefully advance the guidewire into the target vein if any
resistance is encountered remove needle and guidewire together.
Never pull guidewire back through the needle as shearing may occur.
6. Carefully
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guidewire
dispenser and
syringe leaving
guidewire in
target vein.
15. 7. Using Now Featuring
NEW
Chest X-­Ray
WR&RQ¿UP
tip placement
prior to
catheter use.
#11. blade make small incision at the H[LWVLWHWR
facilitate easy insertion of vessel dilators and catheter.
MULTI-­TUBE™ TECHNOLOGY
8. Advance 14. 1st of 2 size matched
vessel dilators
over the
guidewire into
target vein.
Apply sterile
dressing to
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13. Anchor catheter
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adhesive
sutureless
securement
device or
moveable 2 SLHFHER[FODPS
suture wing.
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aspirate and
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lumens to
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and patency.
11. Remove stylet
and guidewire
together from
the venous
lumen of the
catheter.
10. Carefully
advance
catheter
over the
guidewire into
target vein
to length
required.
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9. Remove
dilator being
careful not to
dislodge the
guidewire. Repeat steps
8&9 using 2nd
size matched
dilator.